Organization Active NPI

Methuen Physical Therapy

  • Physical Therapist
  • Methuen, MA
National Provider Identifier
1285094912
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7037 Issued in MA
Legal business name
METHUEN PHYSICAL THERAPY
Practice address
112 Jackson St
Suite 2
Methuen, MA 01844-5045
Phone
(978) 685-5420
Fax
(978) 685-5768
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Rondinelli, DCNPI 1447330733
Title
Owner
Phone
(978) 685-5420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 7037 MA Primary

Addresses

Primary practice location

112 Jackson St
Suite 2
Methuen, MA 01844-5045

Mailing address

112 Jackson Street
Suite 2
Methuen, MA 01844
Phone (978) 685-5420

Other identifiers 1

IdentifierTypeStateIssuer
1215960158OtherMANPI

National Provider Directory

National Provider Directory

Locations

112 Jackson St
#02
Methuen, MA 01844
Phone (978) 685-5420

112 Jackson St
#2
Methuen, MA 01844
Phone (978) 685-5420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1285094912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JACKSON STREET",
            "address_2": "SUITE 2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-685-5420",
            "fax_number": "978-685-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JACKSON ST",
            "address_2": "SUITE 2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445045",
            "telephone_number": "978-685-5420",
            "fax_number": "978-685-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHUEN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "RONDINELLI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-685-5420",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "7037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215960158",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.